ALLYSON FAIRCHILD MA
NPI 1982320362
Counselor - Mental Health in Bradenton, FL

Active since October 17, 2022Opted out of Medicare · through Apr 1, 2027
9030 58TH DR E STE 103, BRADENTON, FL 34202(941) 567-5207(888) 769-9093 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Allyson Fairchild Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLYSON FAIRCHILD MA (NPI 1982320362) is an individual mental health provider in Bradenton, Florida, licensed in Florida (IMH20614) and active in the NPI registry since October 2022. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1982320362
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALLYSON FAIRCHILDCredential: MA
Location Address9030 58TH DR E STE 103Bradenton, FL 34202-6108
Mailing Address9030 58th Dr E Ste 103Bradenton, FL 34202-6108 · (941) 567-5207
Fax(888) 769-9093
Sole ProprietorNo
Enumeration DateOctober 17, 2022
NPPES CertifiedOctober 17, 2022
NPI 1982320362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · IMH20614
9030 58TH DR E STE 103, Bradenton, FL 34202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Allyson Fairchild Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
9030 58TH DR E STE 103
BRADENTON, FL 34202
Counselor (Mental Health)
9030 58TH DR E STE 103
BRADENTON, FL 34202
Counselor (Mental Health)
9030 58TH DR E STE 103
BRADENTON, FL 34202
Counselor (Mental Health)
9030 58TH DR E STE 103
BRADENTON, FL 34202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allyson Fairchild's NPI number?

The NPI number for Allyson Fairchild is 1982320362. It was assigned to this individual provider in the NPPES registry on October 17, 2022.

Where is Allyson Fairchild located?

Allyson Fairchild practices at 9030 58th Dr E Ste 103, Bradenton, FL 34202. The listed phone number is (941) 567-5207.

What is Allyson Fairchild's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Allyson Fairchild enrolled in Medicare?

No. Allyson Fairchild has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Allyson Fairchild accept?

Health plans from Providence Health Plan list Allyson Fairchild as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allyson Fairchild was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.